Transdermal: this vehicle will by pass the liver and is the most preferred by our patients. However you must do this at the same time of day everyday and make sure you wash the site before applying. You apply the hrt lotion to the inner arms or upper inner thighs. You need to rotate sites so that there will be no saturation in the receptor site you are using. Sublingual: This vehicle will by pass the liver however several patients say this is bitter tasting and patient compliance isn’t always the best with this choice.

Subcutaneous: This is the most physiological way for the hormones to react in the body. It acts most like the testicles and ovaries. The body draws what it needs as it needs it. This vehicle is chosen by many patients and there are many doctors that just do this HRT replacement. You go to the doctor once every 3 to 4 months for women and every 4 to 6 months for men for your implantation. You are sore for about 3 to 4 days and may have some slight bruising. The procedure it self is not painful at all. You feel about 3 seconds of a stick and burning.

Oral: This is not a preferred way to deliver Bio-Identical HRT or any other for that matter. This system does not by pass the liver and can have the most side effects and conversions.

​There are other ways as well but these are the most well known, the others are: Injectable, vaginal, and rectal